Final Lecture Material Flashcards
The following:
Anterior head carriage
Elevated, rounded shoulders; Winging scapulae; Shortened pectoralis; Kyphotic upper thoracic spine; Shortened upper trap/levator;
Weak serratus anterior and low/middle trap
Are signs of :
Upper Cross Syndrome
`Lack of ________ will cause dysfunction within the joint and may cause pain.
joint play
_______ is essential for proper lubrication, transport of nutrients, and removal of waste material from the articular surfaces.
Proper hydrodynamic occur during
1.
2.
3.
Hydrodynamics
- Weight bearing
- Intermittent muscle activity
- Full ROM
Over time, scapulas tend to migrate ________ and ________ , making a shallow glenoid cavity more
shallow leading to more shoulder complaints.
Superior and Lateral
Glenohumeral joint is most often affected by _________ or the tendon of the ________ of biceps.
Rotator cuff Dysfunction (Supraspinatus) and the LH of Biceps
Lateral epicondylitis = tennis elbow. Most common listing is _________ radius.
Posterior Lateral
An__________ muscle test is a good indicator of median nerve involvement
oppenens pollicis during supination
pronator teres during pronation
Weakness of this muscle with arm in ___________ usually indicates median nerve pressure at the
wrist (Carpal Tunnel).
Supination
Weakness with arm in pronantion usually indicates median nerve irritation at the elbow or
pronator teres syndrome
Exercise for retraction of the Scapula/Glenohumeral joint
Wall walks with hands oriented so fingers pointing upward / Wall Angels
Initial motion upon _________ occurs at the radiocarpal joint and secondary motion at the mid
carpal and carpal metacarpal joint.
Flexion
Based on the above question , if there is pain at the beginning of the ROM, check the __________.
Radiocarpal joint
Which rib subluxations can cause intercostal neuritis?
16 The three muscles involved in jaw elevation
!Medial pterygoid, Masseter, Temporalis
17 The three muscles involved in jaw depression
!Digastric, Geniohyoid, Mylohyoid – Assisted by gravity
18 Most common S/C Joint separation
!Superior
Costo-vertebral, Costo-transverse, Costal angle, and Anterior Dorsals
The two muscles involved in jaw protrusion
Lateral pterygoid muscle - Assisted by Medial pterygoid
The four muscles involved in jaw retraction
Posterior fibers of temporalis, Deep part of masseter, Geniohyoid, Digastric
The three muscles involved in jaw elevation
Medial pterygoid, Masseter, Temporalis
The three muscles involved in jaw depression
Digastric, Geniohyoid, Mylohyoid – Assisted by gravity
Most common S/C Joint separation
Superior and Anterior
On xray, a space of more than _____ between the coracoid and clavicle indicates coracoclavicular
ligamentous disruption
1.3cm OR 13mm
With Cross Over Maneuver (PART 4 boards), presence of superior pain or discomfort in the
shoulder indicates ____________.
Pathology of the A/C joint
On an AP thoracic x-ray, a height difference of _______ between the inferior tips of the scapula
indicates an _______ shoulder.
More than 15 mm
unstable
Most common reason for re-injury of a dislocated shoulder is:
Failure to properly condition the healed tissues
Overuse is ______ in tendinitis but ______ in tendinosis
Rare in tendinitis
Common in tendinosis
Tennis Elbow can have a long healing time lasting up to as much as _____ weeks.
72 weeks or 18 months
Rate of irritation greater than rater of recovery is the description of the ________ principle
Specific Adaptation to Imposed Demand (SAID)
_______ tears are intracapsular, whereas ________ tears are extracapsular.
Primary, Secondary
Which joint is likely the most responsible for the majority of the proprioceptive information for the
upper extremity?
SC
The S/C articulation is the most overlooked region of the upper extremity. What is the second most?
Scapulothoracic articulation
Medial epicondylitis or golfers elbow typically produces a _______ ulna
PM
Medial epicondylitis is observed when there is weakness of the _________ muscle.
Flexor carpi ulnaris
Lateral epicondylitis or tennis elbow is observed when there is weakness of the _________ muscle.
Extensor carpi radialis brevis
If wrist pain is reduced or range of motion enhanced by applying mild pressure approximating distal
ulna and radius - a_________ may have occurred via hyperextension or hyperflexion insult to the
wrist.
spreading injury
To test this, you would perform this Part IV orthopedic test.
Bracelet’s test + increase pain = RA
The sphenoid bone articulates with ____ other cranial bones
12
The TMJ is unique because it is a synovial joint, but the surfaces are covered by this type of cartilage.
Fibrocartilage
This source for pain and synovial effusion in a TMJ related issue consists of a venous plexus
covered with a synovial membrane.
Retrodiscal tissue
If a patient complains of locking, he can’t open his mouth fully this is called a closed lock. In this
case the disc is_______ to the condyle.
Anterior
Which direction of movement is more common in a Costal Angle subluxation?
Superior
At the 5th rib, the costo-chondral junction is approximately located at the __________.
Mid-clavicular line
Costo-Sternal or Chondro-Sternal subluxations apply to which ribs?
The upper 6 ribs
Another name for Anterior Dorsals is:
Pottinger Saucer
What else has a biconcave disc besides the S/C joint?
TMJ
What is the condition regarding grinding of the teeth at night?
Bruxism
Ribs typically articulate with the disc and bodies of vertebrae above and below except
1st, 10th, 11th, and 12th
Management criteria for Fx, Dislocation, Pathology, and Pain tolerance is for ______
Safety
Closed pack or open pack position causes a fx or dislocation
Closed
OPP causes strains and strains
As a Chiropractor which type of testing is used to test for stability
Orthopedic exams
Lack of joint play will cause dysfunction within the joint and may cause ____
pain
Proper hydrodynamics occur during _____
Running
The GH capsule contains about __ to __ fluid and up to ____
.5cc-1.5cc
Up to 30cc
If during an assessment, you find that the SC joint has gone posterior, what do you do?
Call 911
b/c it could occlude the jugular or carotid arteries and veins
If the SC joint is determined to be unstable then you would________
TAPE 6 weeks to 3 months
On plain film (x-ray) the coracoid to clavicle distance should be __ to __ and a space greater than this would indicate what?
1.1cm - 1.3cm
Coracoclavicular ligament disruption
What is a non-negotiable for AC separation of Grade 2 or 3 for proper function
Elastic tape for 6 weeks
